Myles Julian Ketchum, M.D., PH.D.
NPI 1093249864ActiveIndividual· Family Medicine, Addiction Medicine· Santa Rosa, CA
Family Medicine, Addiction Medicine (M.D., PH.D.) in Santa Rosa, California, trained at Louisiana State University School of Medicine in New Orleans (class of 2017). Their prescriptions cost Medicare Part D more than their services did: $725,382 for 5,668 claims, against $11,180 paid for services in 2024.
Overview
| NPI | 1093249864 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., PH.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 18, 2017 |
| Last updated in NPPES | May 27, 2025 |
| Certified by provider | May 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | 1211497 | CA |
| Preventive Medicine, Addiction Medicine | 2083A0300X | 61-25999 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 174 across 11 procedure codes |
| Paid by Medicare | $11,180 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,668 · 9,818 30-day fills |
|---|---|
| Patients | 385 |
| Total drug cost | $725,382 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | Louisiana State University School of Medicine in New Orleans |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliation
- Sutter Santa Rosa Regional HospitalSanta Rosa, CA
Other facilities
- Sutter Care at HomeHome health agency · Santa Rosa, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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